ISSN: 2222-6990
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This study aimed to identify the risk factors of relapse among drug addicts who were repeatedly admitted to the Narcotics Recovery and Addiction Centre (PUSPEN). This qualitative study utilized an interview method to gain a deeper understanding of the factors that contribute to the relapse phenomenon. The study sample comprised of seven relapsed drug addicts who were admitted to the centre more than once. The interview sessions were conducted at two PUSPEN centers in the east coast of Malaysia, which are PUSPEN Jeli and Bachok. These centers cater for both male and female drug addicts. The current study found that the risk factors of relapse among the drug addicts are internal factors. The themes that emerged in these risk factors include lack of willpower, boredom, frustration, lack of religious knowledge and practices, anger, and resentment. Apart from that, other risk factors are such as lack of family support, income factor (scarce income and surplus income), the influence from old friends, rejection from the community, social media influence, and no place to go after being released are also contributing factors to the reoccurrence of relapse. The findings of this study provide practical implications for the drug treatment and rehabilitation in Malaysia.
Asensio, S., Hernandez-Rabaza, V., & Semper, J. V. O. (2020). What Is the “Trigger” of Addiction? Frontiers in Behavioral Neuroscience, 14, 54–78.
Baharudin, D. F., Amat, M. A. C., Jailani, M. R. M., & Sumari, M. (2011). The concept of forgiveness as a tool in counseling intervention for well-being enhancement. PERKAMA International Convention.
Bandura, A. (1997). Self-efficacy: The exercise of control. Macmillan.
Brown, S. A., D’Amico, E. J., McCarthy, D. M., & Tapert, S. F. (2001). Four-year outcomes from adolescent alcohol and drug treatment. Journal of Studies on Alcohol, 62(3), 381–388.
Chen, L., Li, N., Ge, S., Lozano, A. M., Lee, D. J., Yang, C., Li, L., Bai, Q., Lu, H., & Wang, J. (2019). Long-term results after deep brain stimulation of nucleus accumbens and the anterior limb of the internal capsule for preventing heroin relapse: An open-label pilot study. Brain Stimulation, 12(1), 175–183.
Chie, Q. T., Tam, C. L., Bonn, G., Wong, C. P., Dang, H. M., & Khairuddin, R. (2015). Drug abuse, relapse, and prevention education in Malaysia: Perspective of university students through a mixed methods approach. Frontiers in Psychiatry, 6, 1–13.
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications.
Crouch, M., & McKenzie, H. (2006). The logic of small samples in interview-based qualitative research. Social Science Information, 45(4), 483–499.
Darwish, S., & Abdeldayem, M. M. (2019). Risk Management and Business Ethics: Relations and Impacts in the GCC. International Journal of Civil Engineering and Technology, 10(10), 489-504.
Dong, Y., Taylor, J. R., Wolf, M. E., & Shaham, Y. (2017). Circuit and synaptic plasticity mechanisms of drug relapse. Journal of Neuroscience, 37(45), 10867–10876.
Emrick, C. D., & Beresford, T. P. (2016). Contemporary negative assessments of alcoholics anonymous: A response. Alcoholism Treatment Quarterly, 34(4), 463–471.
Etikan, I., & Bala, K. (2017). Sampling and sampling methods. Biometrics & Biostatistics International Journal, 5(6), 215–217.
Fraser, S., & Moore, D. (2008). Dazzled by unity? Order and chaos in public discourse on illicit drug use. Social Science & Medicine, 66(3), 740–752.
Galletta, A. (2013). Mastering the semi-structured interview and beyond: From research design to analysis and publication (Vol. 18). NYU press.
Goodson, I. F., & Sikes, P. J. (2001). Life history research in educational settings: Learning from lives. Open University Press.
Habibi, R., Nasrabadi, A. N., Hamedan, M. S., & Moqadam, A. S. (2016). The effects of family-centered problem-solving education on relapse rate, self efficacy and self esteem among substance abusers. International Journal of High Risk Behaviors & Addiction, 5(1), 1–16.
Ibrahim, F., & Kumar, N. (2009). Factors Effecting Drug Relapse in Malaysia: An Empirical Evidence. Asian Social Science, 5(12), 37–44.
Ibrahim, F., Talib, M. A., Samah, B. A., & Sabran, M. S. (2008). Family Support and Tendency of Relapse among Drug Addicts in Malaysia. Journal of Social Policy and Society, 5, 181–193.
Jaafar, J. L. S. (2002). Psikologi Remaja [adolescent psychology]. Pearson Malaysia.
Lian, T. C., & Chu, F. Y. (2013). A Qualitative Study on Drug Abuse Relapse In Malaysia: Contributory Factors And Treatment Effectiveness. International Journal of Collaborative Research on Internal Medicine & Public Health, 5(4), 217–232.
Liu, J., Zhao, S., Chen, X., Falk, E., & Albarracin, D. (2017). The influence of peer behavior as a function of social and cultural closeness: A meta-analysis of normative influence on adolescent smoking initiation and continuation. Psychological Bulletin, 143(10), 1082.
Mahoney, J. L., & Stattin, H. (2000). Leisure activities and adolescent antisocial behavior: The role of structure and social context. Journal of Adolescence, 23(2), 113–127.
Mericle, A. A., Miles, J., & Way, F. (2015). Recovery residences and providing safe and supportive housing for individuals overcoming addiction. Journal of Drug Issues, 45(4), 368–384.
Merikangas, K. R., & Stevens, D. E. (2005). Substances abuse among women: Familial factors and comorbidity. http://www.drugabuse.gov/PDF/DARHW/245270_Merikangas.pdf
Merriam, S. B., & Grenier, R. S. (2019). Qualitative research in practice: Examples for discussion and analysis (2nd ed.). John Wiley & Sons.
Merriam, S. B., & Tisdell, E. J. (2015). Qualitative research: A guide to design and implementation. John Wiley & Sons.
Rahman, M. M., Rahaman, M. M., Hamadani, J. D., Mustafa, K., & Islam, S. M. (2016). Psycho-social factors associated with relapse to drug addiction in Bangladesh. Journal of Substance Use, 21(6), 627–630.
Rami, A. M., Abdullah, R., & Ariffin, W. J. (2018). Strengthening social capital: Local leader’s strategy toward developing rural community. International Journal of Academic Research in Business and Social Sciences, 8(1), 765–774.
Sabouripour, F., & Roslan, S. (2015). Resilience, optimism and social support among international students. Asian Social Science, 11(15), 159–170.
Shariff, A. A. M., Azhar, A., Rajamanickam, R., Manap, N. A., Hussein, S. M., Said, M. H. M., Ab Halim, A. H., & Markom, R. (2019). Analysis on Admissibility of DNA Evidence in Malaysian Syariah Courts. Academic Journal of Interdisciplinary Studies, 8(4), 159–159.
Sinha, R., Shaham, Y., & Heilig, M. (2011). Translational and reverse translational research on the role of stress in drug craving and relapse. Psychopharmacology, 218(1), 69–82.
Song, S., Zilverstand, A., Gui, W., Li, H., & Zhou, X. (2019). Effects of single-session versus multi-session non-invasive brain stimulation on craving and consumption in individuals with drug addiction, eating disorders or obesity: A meta-analysis. Brain Stimulation, 12(3), 606–618.
Stein, M. D., Conti, M. T., Kenney, S., Anderson, B. J., Flori, J. N., Risi, M. M., & Bailey, G. L. (2017). Adverse childhood experience effects on opioid use initiation, injection drug use, and overdose among persons with opioid use disorder. Drug and Alcohol Dependence, 179, 325–329.
Stewart, J. L., May, A. C., Aupperle, R. L., & Bodurka, J. (2019). Forging neuroimaging targets for recovery in opioid use disorder. Frontiers in Psychiatry, 10, 117–131.
Taib, M., & Khairi, R. M. (2000). Pola-pola komunikasi kekeluargaan: Kajian di kalangan keluarga penagih dan bukan penagih di Negeri Kedah. Penyelidikan Sekolah Pembamgunan Social.
The National Anti-Drugs Agency. (2015). Drug Report January – December 2015. Ministry of Home Security.
Van Delden, A. J. (2017). Adolescent substance use trajectories in relation to internalizing problems in young adulthood: The role of friendship quality [Master’s Thesis]. Universiteit Utrecht.
Volkow, N. D., Wang, G.-J., Fowler, J. S., & Tomasi, D. (2012). Addiction circuitry in the human brain. Annual Review of Pharmacology and Toxicology, 52, 321–336.
Williams, R. J., & Chang, S. Y. (2000). A comprehensive and comparative review of adolescent substance abuse treatment outcome. Clinical Psychology: Science and Practice, 7(2), 138–166.
Witkiewitz, K., & Marlatt, G. A. (2004). Relapse prevention for alcohol and drug problems: That was Zen, this is Tao. American Psychologist, 59(4), 224–235.
Ibrahim, F., & Kumar, N. (2009). The influence of community on relapse addiction to drug use: Evidence from Malaysia. European Journal of Social Sciences, 11(3), 471-476. Retrieved from
Ibrahim, F., Kumar, N., & Samah, B. A. (2011). Self efficacy and relapsed addiction tendency: An empirical study. Social Sciences, 6(4), 277-282. doi:10.3923/sscience.2011.277.282
Khasmohammadi, M., Ehsaei, G., S., Vanderplasschen, W., Dortaj, F., Farahbakhsh, K., Afshar, K. H., . . . Hormozi, A. K. (2020). The impact of addictive behaviors on adolescents psychological well-being: The mediating effect of perceived peer support. Journal of Genetic Psychology, 181(2-3), 39-53. doi:10.1080/00221325.2019.1700896
In-Text Citation: (Amat et al., 2020)
To Cite this Article: Amat, M. A. C., Ahmad, J., Jailani, O., Jaafar, W. M. W., & Zaremohzzabieh, Z. (2020). Relapse among Drug Addicts in East Coast Malaysia: A Qualitative Study of Risk Factors. International Journal of Academic Research in Business and Social Sciences, 10(12), 432–447.
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